Provider Demographics
NPI:1144901471
Name:PURVI GANDHI SLP, PLLC
Entity type:Organization
Organization Name:PURVI GANDHI SLP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:PURVI
Authorized Official - Middle Name:A
Authorized Official - Last Name:GANDHI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:917-860-3373
Mailing Address - Street 1:127 SOUTH STREET
Mailing Address - Street 2:SUITE #1
Mailing Address - City:OYSIER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-2248
Mailing Address - Country:US
Mailing Address - Phone:917-860-3373
Mailing Address - Fax:
Practice Address - Street 1:127 SOUTH STREET
Practice Address - Street 2:SUITE #1
Practice Address - City:OYSIER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-2248
Practice Address - Country:US
Practice Address - Phone:917-860-3373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty